Constantin Chiropractic Clinic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001782 Issued in WA

Legal business name

CONSTANTIN CHIROPRACTIC CLINIC PC

Practice address

2017 Main St
Ferndale, WA 98248-1992

Phone

(360) 384-4611

Fax

(360) 384-2574

NPI assigned

Jan 31, 2007

Last updated

Oct 11, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Pierre R Constantin, DC

Title

Chiropractor

Phone

(360) 384-4611

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Tax ID family

Blaine Chiropractic Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Constantin Chiropractic P.C.

  dba Blaine Chiropractic Center

  • Chiropractor
  • Blaine, WA
  • NPI 1275656407
  NPD tax ID

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan M Constantin, D.C.

  • Chiropractor
  • Ferndale, WA
  • NPI 1568597342
  Medicare reassignment NPD
• Amber Bellamy

  • Massage Therapist
  • Ferndale, WA
  • NPI 1558887513
  NPD (past)
• Cindy LC Minor, LMP

  • Massage Therapist
  • Ferndale, WA
  • NPI 1043657885
  NPD (past)
• Matthew Jay Adams, D.C.

  • Chiropractor
  • Fairfax, VA
  • NPI 1598059206
  NPD (past)
• Desh V Anand, MD

  • Emergency Medicine Physician
  • Wentzville, MO
  • NPI 1154378073
  NPD (past)
• Grant P Morlock, D.C.

  • Chiropractor
  • Lake Oswego, OR
  • NPI 1013248780
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1952448896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1992",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982481992",
            "telephone_number": "360-384-4611",
            "fax_number": "360-384-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 MAIN ST",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982481992",
            "telephone_number": "360-384-4611",
            "fax_number": "360-384-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSTANTIN CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "CONSTANTIN",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "360-384-4611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001782",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002045",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034646",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2091205",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Lcoop LMHC
• Edward Chin, DDS
• Melana Clare, MT, LMP
• Amanda Elizabeth Clay
• Patricia Veronika Conn, D.D.S.
• Pierre R Constantin, D.C.
• Susan M Constantin, D.C.
• Michael-Ann Cooley, RPH
• Jessica Corcorran
• Jennifer Elizabeth Correll-Brown, LMT

• Chiropractor in Ferndale, WA
• Providers in Ferndale, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.